HomeMy WebLinkAbout20211684 Ver 1_401 Application_20211115Staff Review
Does this application have all the attachments needed to accept it into the review process?*
Yes No
ID# *
20211684
Version* 1
Is this project a public transportation project?* Yes
• No
Reviewer List: * Sue Homewood:eads\slhomewood
Select Reviewing Office: * Winston-Salem Regional Office - (336) 776-9800
Submittal Type:* 401 Application
Does this project require a request for payment to be sent?*
Yes
No
How much is owed?* $240.00
$570.00
Project Submittal Form
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: * For the Record Only (Courtesy Copy)
New Project
Modification/New Project with Existing ID
More Information Response
Other Agency Comments
Pre -Application Submittal
Re-Issuance\Renewal Request
Stream or Buffer Appeal
Project Contact Information
Name: Zan Price
Who is submitting the information?
Email Address: zan@jenningsenv.com
Project Information
Project Name: UT East Swan Creek Stabilization
Is this a public transportation project?
Yes
No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
County (ies)
Yadkin
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
PCN_UT East Swan —Yadkin Co_signed.pdf
354.81 KB
UT East Swan Creek Stabilization_Supplemental
28.06KB
Info.pdf
Yadkin - Cheek - Agent Authorization Form - UT
593.79KB
Swan Creek.pdf
Existing Condition Photographs.pdf
180.57KB
StreamStats UT Swan Creek 0.2 sgmi.pdf
290.28KB
DWR Pre -Filing Meeting Request Form (1).pdf
112.88KB
UT East Swan Creek Plans.pdf
8.51 MB
USDA_Soil_Map.pdf
267.15KB
IPaC_ USFW.pdf
444.03KB
Only pdf or kmz files are accepted.
Describe the attachments or
comments:
Laserfiche PCN form was having issues so Bev Strickland recommended that I use the PCN pdf form. Please
send payment request information to zan@jenningsenv.com.
See attached PCN and supporting information.
Sign and Submit
By checking the box and signing box below, I certify that:
• I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the
best of my knowledge and belief.
• I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
• I agree that submission of this online form is a "transaction" subject to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act');
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a
written signature; AND
• I intend to electronically sign and submit the online form.
Signature:
Submittal Date: Is filled in automatically.